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葡萄糖酸洗必泰治疗犬浅表脓皮病的疗效:一项随机、单盲对照试验。

Efficacy of olanexidine gluconate in canine superficial pyoderma: a randomised, single-blinded controlled trial.

机构信息

Dermatological and Laboratory Service for Animals, Vet Derm Tokyo, 910 Shobusawa, Fujisawa, Kanagawa, 252-0823, Japan.

Department of Microbiology, Kitasato University School of Medicine, 1-15-1 Kitasato, Minami-ku, Sagamihara, Kanagawa, 252-0374, Japan.

出版信息

Vet Dermatol. 2021 Dec;32(6):664-e174. doi: 10.1111/vde.13038.

Abstract

BACKGROUND

Topical treatments can be beneficial for managing canine superficial pyoderma. A novel antiseptic agent, olanexidine gluconate, has become available recently for use in humans, and its efficacy for canine pyoderma as topical therapy is unknown.

OBJECTIVE

The antimicrobial effect of olanexidine was evaluated using minimal inhibitory concentration (MIC) towards Staphylococcus pseudintermedius. Furthermore, its clinical efficacy in canine superficial pyoderma was assessed in a randomized, single-blinded study.

ANIMALS

Twenty-eight client-owned dogs with atopic dermatitis and superficial pyoderma.

METHODS AND MATERIALS

The MIC of olanexidine was determined for S. pseudintermedius isolates (n=73) by serial dilution of 96-well broth microdilution method. Regarding the clinical trial, all recruited dogs were randomized into two groups; one treated with 1.5% olanexidine spray once daily and the other with a 3% chlorhexidine shampoo once a week for 2 times, respectively. Clinical assessment was performed at days 0 and 14 according to the guidelines of the Japanese Society of Antimicrobials for Animals.

RESULTS

The MIC values for methicillin-resistant S. pseudintermedius (MRSP) and methicillin-sensitive S. pseudintermedius (MSSP) were 0.23 μg/ml and 0.24 μg/ml (P =0.9), respectively. In clinical trial, olanexidine and chlorhexidine showed substantial improvement in clinical presentation compared to the baseline.

CONCLUSIONS AND CLINICAL IMPORTANCE

Olanexidine showed comparable efficacy to chlorhexidine (P=0.73). Moreover, the MIC against S. pseudintermedius indicated high bactericidal activity, which was supported by the topical effectiveness of olanexidine.

摘要

背景

局部治疗可有益于治疗犬浅层脓皮病。一种新型的防腐剂葡萄糖酸奥来昔定最近已可用于人类,但其作为局部治疗犬浅层脓皮病的疗效尚不清楚。

目的

通过最低抑菌浓度(MIC)评估奥来昔定对中间葡萄球菌的抗菌作用。此外,还在一项随机、单盲研究中评估了其在犬浅层脓皮病中的临床疗效。

动物

28 只患有特应性皮炎和浅层脓皮病的患犬。

方法和材料

通过 96 孔板微量稀释法的连续稀释来确定奥来昔定对中间葡萄球菌分离株(n=73)的 MIC。关于临床试验,所有入选的犬均随机分为两组;一组每天使用 1.5%奥来昔定喷雾剂一次,另一组每周使用 3%洗必泰香波一次,各使用两次。根据日本动物抗菌剂学会的指南,在第 0 天和第 14 天进行临床评估。

结果

耐甲氧西林中间葡萄球菌(MRSP)和甲氧西林敏感中间葡萄球菌(MSSP)的 MIC 值分别为 0.23μg/ml 和 0.24μg/ml(P=0.9)。在临床试验中,奥来昔定和洗必泰与基线相比均显著改善了临床症状。

结论和临床意义

奥来昔定与洗必泰的疗效相当(P=0.73)。此外,对中间葡萄球菌的 MIC 表明其具有高杀菌活性,这也支持了奥来昔定的局部有效性。

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